Joel Riordan, PT, DPT
Individual provider Active NPI Physical Therapist · Windom, MN
NPI 1548029291 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1548029291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11775 (MN)
- Practice address
- 2150 Hospital Dr
Windom, MN 56101-1287 - Phone
- (507) 831-0634
- NPI assigned
- Mar 15, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11775 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11775 | MN | Yes |
Addresses
Primary practice location
2150 Hospital Dr
Windom, MN 56101-1287
Mailing address
805 17TH St
Windom, MN 56101-1124
Phone (507) 822-6663
Other providers in Windom, MN
- PBR Optometrists LTD of Windom
- Kayla Pineda
- Ike Pohlman
- Danelle Porter
- Rainbow Behavioral Health Services Chartered
- Brandi Rossow
- David R Rupp
- Rural Health Care, Inc
- Joshua Michial Sammons
- Allison Grace Sandbeck
All providers in Windom, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.